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Individual
LAURA MARIA ANTENUCCI
Active
Individual
LAURA MARIA ANTENUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2005324
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/13/2020
Last updated
08/16/2022
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